Reimbursement Pre-Billing Prior Authorization Specialist FWD
Reimbursement Pre-Billing Prior Authorization Specialist FWD
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Job Description
Castle Biosciences Earns a Top Workplaces USA Award for the Fourth Consecutive Year!
You wont find a work culture and benefits package like ours every day. Come join our team and a group of colleagues who love working at Castle!
Castle Biosciences Inc. is growing and we are looking to hire a PreBilling Prior Authorization Specialist working from our Friendswood TX office location with a start date prior to June 5 2025.
We are in search of someone who strives for excellence in their work with a positive cando attitude! If this sounds like the right opportunity for you in the essential biotech field consider applying today! Learn more at
EXCEPTIONAL BENEFIT PACKAGE
Excellent Annual Salary Achievable Annual Bonus Potential 20 of Salary 20 accrued PTO Days annually
401K with a 100 Company match of up to 6 of your allowable Contribution and No Waiting Period
3 health care plan options with very low premium cost Company HSA Contribution with HDHP option Company Stock Grant Upon Hire
A DAY IN THE LIFE OF PreBilling Prior Authorization Specialist
This individual is responsible for managing all aspects of the prior authorization process including gathering necessary documents contacting providers and patients for additional information or assistance and completing prior authorizations. The role involves close collaboration with the Benefits Verification Team to validate patients insurance plans. A key focus is ensuring all relevant medical documentation is accurate and complete before submitting authorizations. Responsibilities include submitting and following up on assigned prior authorization requests obtaining approvals via payer websites or phone and addressing pending cases. The individual will contact referring physicians offices for additional information as needed resolve discrepancies or denials and initiate reconsiderations appeals or peertopeer reviews for denied authorizations. Timeliness and accuracy are critical with a strong emphasis on meeting turnaround standards. Additional duties include assigning insurance plans performing eligibility verifications for new patient accounts and reporting payer trends or issues to the Billing Supervisor and Billing Manager. Effective communication teamwork and multitasking are essential to manage a highvolume timesensitive workload. This position requires onsite work from the Friendswood TX office and collaboration across departments to facilitate prior authorizations in a crossfunctional manner.
REQUIREMENTS
- A high school diploma or equivalent work experience is required.
- Experience researching and utilizing payor websites or equivalent job experience with attention to detail.
- Experience collaborating with multiple teams to achieve goals.
- Knowledge of prior authorization and its direct impact on the practices revenue cycle.
- Proficient in Microsoft Excel Word and Outlook.
- Compiled and provided documentation and/or verbal clinical review where needed to substantiate medical necessity and obtain authorization for requested procedures.
- Minimum of 1 year of experience in this role for the same company.
- Typing speed of 35 or more words per minute with 90 or greater accuracy.
- Responds timely to requests emails voicemails etc.
- Excellent communication skills and the ability to articulate clearly both verbally and in writing.
- Ability to handle multiple simultaneous tasks effectively and efficiently while maintaining a professional courteous manner.
- Exercises professional judgment and demonstrates good problemresolution skills.
- Team player with a positive attitude who is able and willing to help others.
- Actively displays behaviors that support the mission vision and values of Castle Biosciences.
*Please see the attached job description for additional roles responsibilities and requirements.
SCHEDULE
- Monday Friday 8 hours per day in office nonexempt position working from our Friendswood TX office.
TRAVEL REQUIREMENTS
- <5 as needed for training and meetings.
READY TO JOIN OUR BIOTECH TEAM
We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that this would be the right position for you please fill out our initial 3minute mobilefriendly application. We look forward to meeting you!
ABOUT CASTLE BIOSCIENCES INC.
At Castle it all comes down to people. After all disease doesnt just happen it happens to people. We believe that disease management and treatment decisions can be better informed through a persons unique biology which is revealed through the scientific rigor of our innovative laboratorydeveloped tests. We are committed to empowering healthcare providers and patients with the goal of improved outcomes.
Every employee at Castle has an impact on patient care and we work to ensure that everyone finds their work to be both challenging and rewarding. We behave with integrity and treat our colleagues with respect and kindness. Our culture fosters an environment of trust transparency and collaboration. We prioritize and encourage internal growth and professional development.
If you are interested in making a difference in the lives of patients while doing something that inspires you Castle may be the right place for you. Castle Biosciences was ranked #188 by the Financial Times in 2023 as one of Americas FastestGrowing Companies.
Castle Biosciences is an equal opportunity employer as to all protected groups including protected veterans and individuals with disabilities.
If you have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application please email .
This email was created exclusively to assist disabled job seekers whose disability prevents them from being able to apply online. Only messages left for this purpose will be returned. Messages left for other purposes such as following up on an application or technical issues not related to a disability will not receive a response.
** No thirdparty recruiters please
Required Experience:
Unclear Seniority
Employment Type
Full-Time
